Application for Jazz Camp for KIDs 2008
Fill in the information and mail to:
Pasadena Jazz Institute
260 E. Colorado Blvd. Suite 206
Pasadena CA. 91101
626.398.3344
Fill in the form on this page before printing it out.

Which session does your child plan to attend ?
June 23-27 July 7 -11 July 14-18 July 21-25 July 28-August 1

August 4-8 August 11-15

Student's Last Name First Name Age
Street Address City Zip
email address Home Phone
Instrument Parent's Work Phone
Parent's Name Parent's Signature ______________________
Application Date

Camp T-shirt Size: Adult Size: small, med, or large

TUITION is $365.00 per session with 20% off for family discounts and multiple sessions.
If paying by credit card, please provide credit card information below:
Charge my: Visa Mastercard
Credit Card number
Expiration date MM/DD/YYYY Total amount to charge $

Signature _______________________________